Individual
DR. ANDREW POLENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63710
OR
2255A2300X
Athletic Trainer
2000038059
OR
Other
Enumeration date
10/24/2017
Last updated
01/11/2023
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